When the patient returns for #3 extraction and immediate implant, there is severe buccal swelling in spite of 2-week oral Amoxicillin (Fig.1 *).  The extraction is relatively easy, including removal of the mesiobuccal and distobuccal root fracture fragments.  But removing granulation tissue is time consuming.  The buccal plate is lost.

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Xin Wei, DDS, PhD, MS 1st edition 05/09/2015, last revision 02/05/2019